Kerala State

Overview ......................................................................... 66
Kollam District ................................................................. 68
Thrissur District ............................................................... 70
Thiruvananthapuram District ........................................... 72
Palakkad District.............................................................. 74
Kasaragod District ........................................................... 76
Pathanamthitta District .................................................... 78
Kannur District ................................................................. 80
Ernakulam District ........................................................... 82
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Kerala State

STATES AND U.T. IN THE SOUTHERN REGION

In all there were 35 districts in the southern states and Union Territory (U.T.) comprising, Kerala, Pondicherry,
Tamil Nadu, Karnataka and Andhra Pradesh that had MAAR above the level of 36.2/100,000.

Figure 5(I) : Map of India highlighting Kerala State

Figure 5(J) : Map of Kerala State highlighting the
districts with MAAR above 36.2 per 100,000

66
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Kerala State

KERALA STATE

Figure 5(I) gives the Map of India highlighting Kerala State and Figure 5(J) gives the Map of Kerala State

e
highlighting the Districts where the MAAR was above 36.2 /100,000.

or
Eight of the fourteen districts of this state provided data for which detailed description of leading sites is
given. These eight districts highlighted in the map and in the descending order of MAAR were: Kollam, Thrissur,

l
Thiruvananthapuram, Palakkad, Kasaragod, Pathanamthitta, Kannur and Ernakulam.

ga
Leading Sites of Cancer in Males: Among males cancer of the lung was the leading site in all the districts except
Thiruvananthapuram where it very closely followed mouth and was the second leading site of cancer. Cancer of the
lung constituted 12-14% of all cancers in males in these districts. Other sites of cancer (mouth, oesophagus, tongue,

n
larynx) associated with use of tobacco dominated the leading sites in all the districts. However, cancer of the

a
stomach was the second leading site of cancer in the northern districts of Thrissur, Palakkad and Kannur. In Kasaragod
and Ernakulam, cancer of the stomach was the fourth and seventh leading site respectively. Non-Hodgkin's

B
Lymphoma was also an important leading site of cancer in these two districts being second in Ernakulam and third
in Kasaragod.

P,
Leading Sites of Cancer in Females: Among females cancer of the breast was the leading site in all the districts with
the proportion relative to all sites of cancer varying from 22.2% in Kasaragod to 35.4% in Ernakulam. Next only to
cancer of the breast, cancer of the thyroid was the second most frequent cancer in women in Kannur and Ernakulam,

R
third leading site in Thiruvananthapuram, and fourth leading site in Thrissur, Pathanamthitta and Kasaragod.

C
Centre-wise Distribution of Cancers: The Regional Cancer Centre at Thiruvananthapuram is a major referral centre
for most of these districts. A vast proportion of cancers from the districts of Thrissur and Palakkad have been

N
reported from Amala Cancer Hospital at Thrissur, Government Medical College and Sudharma Laboratory there.

In males, in Thiruvananthapuram district some of the highest incidence rate in the world of
cancer of the mouth was seen. There also seems to be a belt of Thyroid cancer in females in the
coastal districts of Kerala, extending along the west coast on to Karnataka and Goa.

67
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Kollam District

5.24. KOLLAM DISTRICT, Kerala State

(Code 3213)

TABLE 5.24(a) : Profile of Kollam District (2001 Census)

Area ( in sq. kms.) 2,491.0

Source: NCRP, Bangalore

Decadal Growth Rate (1991-2001) 7.33%
Literacy Rate
Males 94.63%
Females 88.60%
Sex Ratio (females per 1000 males) 1070
Density (persons per sq. km) 1037

FIGURE 5.24(a) : Map of India highlighting Kerala State FIGURE 5.24(b) : Map of Kerala State highlighting
Kollam District
TABLE 5.24(b) : Centrewise Distribution of Cancers
Number (#) and Relative Proportion (%)

Year 2001 2002 2001 - 2002

Centre (with code in parentheses) # % # % # %
Source: NCRP, Bangalore

HBCR -Thiruvananthapuram (1006) 1494 76.7 1823 84.2 3317 80.6

NBRR, Karunagappally (201) 443 22.8 333 15.4 776 18.9

All Other Centres 10 0.5 10 0.5 20 0.5

Total Cancers 1947 100.0 2166 100.0 4113 100.0

68
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Kollam District

TABLE 5.24(c) : Salient features of Cancer Incidence

Year 2001 2002 2001 - 2002

Males Females Males Females Males Females

Estimated Population 12,46,990 13,34,732 12,53,543 13,45,764 25,00,533 26,80,496

Source: NCRP, Bangalore

Total Cancers (All sites) 1,012 935 1,096 1,070 2,108 2,005

Min. Crude IR 81.2 70.1 87.4 79.5 84.3 74.8

Min. Age Adjusted IR 98.4 79.8 106.5 90.7 102.4 85.3

Min. Truncated IR 184.3 169.9 186.1 191.6 185.1 181.0

Min. = Minimum IR = Incidence Rate / 100,000

FIGURE 5.24(c) : Ten Leading Sites of Cancer (2001 - 2002)

(Minimum Age Adjusted Incidence Rates given in parentheses)

Males

Lung 14.2 (15.1)

Mouth 9.5 (10.1)

Source: NCRP, Bangalore

Oesophagus 6.9 (7.4)

Tongue 5.9 (6.0)

Larynx 4.7 (5.0)

Stomach 4.4 (4.6)

NHL 4.3 (4.1)

Rectum 3.3 (3.4)

Bladder 2.9 (3.1)

Brain, NS. 2.9 (2.5)

0 5 10 15 20
Relative Proportion %

Females
Source: NCRP, Bangalore

69
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Thrissur District

5.25. THRISSUR DISTRICT, Kerala State

(Code 3207)

TABLE 5.25(a) : Profile of Thrissur District (2001 Census)

Area (in sq. kms.) 3,032.0

Source: NCRP, Bangalore

Decadal Growth Rate (1991-2001) 8.70%
Literacy Rate
Males 95.47%
Females 89.94%
Sex Ratio (females per 1000 males) 1092
Density (persons per sq. km) 981

FIGURE 5.25(a) : Map of India highlighting Kerala State FIGURE 5.25(b) : Map of Kerala State highlighting
Thrissur District

TABLE 5.25(b) : Centrewise Distribution of Cancers

Number (#) and Relative Proportion (%)
Year 2001 2002 2001 - 2002
Centre (with code in parentheses) # % # % # %

Amala Cancer Hospital, Thrissur (96) 768 36.8 710 30.8 1478 33.6
Government Medical College, Trichur (53) 762 36.5 696 30.2 1458 33.2
Source: NCRP, Bangalore

HBCR - Thiruvananthapuram (1006) 349 16.7 442 19.2 791 18.0

Sudharama Laboratory (92) 174 8.3 242 10.5 416 9.5
Elite Mission Hospital, Thrissur (98) 0 0.0 116 5.0 116 2.6
The Polyclinic Pvt. Ltd., Thrissur (99) 0 0.0 63 2.7 63 1.4
All Other Centres 35 1.7 39 1.7 74 1.7
Total Cancers 2088 100.0 2308 100.0 4396 100.0

70
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Thrissur District

TABLE 5.25(c) : Salient features of Cancer Incidence

Year 2001 2002 2001 - 2002

Males Females Males Females Males Females

Estimated Population 14,21,869 15,51,737 14,32,768 15,64,557 28,54,637 31,16,294

Source: NCRP, Bangalore

Total Cancers (All sites) 1,110 978 1,246 1,062 2,356 2,040

Min. Crude IR 78.1 63.0 87.0 67.9 82.5 65.5

Min. Age Adjusted IR 91.9 67.7 101.9 71.8 97.0 69.8

Min. Truncated IR 168.4 148.7 182.1 156.5 175.4 152.8

Min. = Minimum IR = Incidence Rate / 100,000

FIGURE 5.25(c) : Ten Leading Sites of Cancer (2001 - 2002)

(Minimum Age Adjusted Incidence Rates given in parentheses)

Males

Lung 12.0 (12.0)

Stomach 11.9 (11.8)

Source: NCRP, Bangalore

Mouth 7.3 (7.2)

Oesophagus 6.3 (6.3)

Larynx 6.1 (6.2)

Tongue 5.4 (5.3)

NHL 4.1 (3.8)

Hypopharynx 3.3 (3.3)

Prostate 3.1 (3.0)

Rectum 2.8 (2.6)

0 5 10 15 20
Relative Proportion %

Females
Source: NCRP, Bangalore

71
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Thiruvananthapuram District

5.26. THIRUVANANTHAPURAM DISTRICT, Kerala State

(Code 3214)

TABLE 5.26(a) : Profile of Thiruvananthapuram District

(2001 Census)
Area (in sq. kms.) 2,192.0

Source: NCRP, Bangalore

Decadal Growth Rate (1991-2001) 9.78%
Literacy Rate
Males 92.68%
Females 86.26%
Sex Ratio (females per 1000 males) 1058
Density (persons per sq. km) 1476

FIGURE 5.26(a) : Map of India highlighting Kerala State FIGURE 5.26(b) : Map of Kerala State highlighting
Thiruvananthapuram District

TABLE 5.26(b) : Centrewise Distribution of Cancers

Number (#) and Relative Proportion (%)

Year 2001 2002 2001 - 2002

Centre (with code in parentheses) # % # % # %

HBCR - Thiruvananthapuram (1006) 1805 99.5 2333 99.5 4138 99.5

Source: NCRP, Bangalore

All Other Centres 7 0.5 12 0.5 19 0.5

Total Cancers 1812 100.0 2345 100.0 4157 100.0

72
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Thiruvananthapuram District

TABLE 5.26(c) : Salient features of Cancer Incidence

Year 2001 2002 2001 - 2002

Males Females Males Females Males Females

Estimated Population 15,72,374 16,65,349 15,84,724 16,81,732 31,57,098 33,47,081

Source: NCRP, Bangalore

Total Cancers (All sites) 862 950 1,142 1,203 2,004 2,153

Min. Crude IR 54.8 57.1 72.1 71.5 63.5 64.3

Min. Age Adjusted IR 69.3 65.4 90.8 83.1 80.1 74.3

Min. Truncated IR 127.5 136.8 164.8 176.4 146.6 156.6

Min. = Minimum IR = Incidence Rate / 100,000

FIGURE 5.26(c) : Ten Leading Sites of Cancer (2001 - 2002)

(Minimum Age Adjusted Incidence Rates given in parentheses)

Males

Mouth 11.9 (9.9)

Lung 11.6 (9.6)

Source: NCRP, Bangalore

Tongue 7.2 (5.9)

Larynx 5.4 (4.5)

NHL 4.6 (3.6)

Oesophagus 4.4 (3.7)

Liver 3.7 (2.8)

Stomach 3.4 (2.8)

Hypopharynx 2.9 (2.5)

Prostate 2.8 (2.4)

0 5 10 15 20
Relative Proportion %

Females
Source: NCRP, Bangalore

73
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Palakkad District

5.27. PALAKKAD DISTRICT, Kerala State

(Code 3206)

TABLE 5.27(a) : Profile of Palakkad District (2001 Census)

Area (in sq. kms.) 4,480.0

Source: NCRP, Bangalore

Decadal Growth Rate (1991-2001) 9.86%
Literacy Rate
Males 89.73%
Females 79.31%
Sex Ratio (females per 1000 males) 1068
Density (persons per sq. km) 584

FIGURE 5.27(a) : Map of India highlighting Kerala State FIGURE 5.27(b) : Map of Kerala State highlighting
Palakkad District

TABLE 5.27(b) : Centrewise Distribution of Cancers

Number (#) and Relative Proportion (%)
Year 2001 2002 2001 - 2002
Centre (with code in parentheses) # % # % # %
Amala Cancer Hospital, Thrissur (96) 274 27.3 335 28.6 609 28.0
HBCR - Thiruvananthapuram (1006) 259 25.8 326 27.8 585 26.9
Government Medical College, Thrissur (53) 293 29.2 287 24.5 580 26.9
Source: NCRP, Bangalore

Sudharama Laboratory, Thrissur (92) 66 6.6 67 5.7 133 6.1

GKNM Hospital, Coimbatore (54) 63 6.3 52 4.4 115 5.3
Sai Subramanian Pathology Lab, CBE (91) 11 1.1 19 1.6 30 1.4
HBCR - Chennai (1009) 11 1.1 18 1.5 29 1.3
PSG Institute, Coimbatore (1) 11 1.1 16 1.4 27 1.2
All Other Centres 17 1.7 53 4.5 70 3.2
Total Cancers 1005 100.0 1173 100.0 2178 100.0

74
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Palakkad District

TABLE 5.27(c) : Salient features of Cancer Incidence

Year 2001 2002 2001 - 2002

Males Females Males Females Males Females

Estimated Population 12,68,284 13,54,295 12,79,467 13,67,153 25,47,751 27,21,448

Source: NCRP, Bangalore

Total Cancers (All sites) 576 429 699 474 1275 903

Min. Crude IR 45.4 31.7 54.6 34.7 50.0 33.2

Min. Age Adjusted IR 56.1 37.1 66.8 40.7 61.5 38.9

Min. Truncated IR 110.6 82.3 121.9 93.5 116.0 87.9

Min. = Minimum IR = Incidence Rate / 100,000

FIGURE 5.27(c) : Ten Leading Sites of Cancer (2001 - 2002)

(Minimum Age Adjusted Incidence Rates given in parentheses)

Males

Lung 13.9 (8.8)

Stomach 11.2 (7.1)

Source: NCRP, Bangalore

Oesophagus 6.1 (3.9)

Mouth 6.0 (3.9)

NHL 6.0 (3.4)

Hypopharynx 5.4 (3.4)

Larynx 4.5 (2.9)

Tongue 4.5 (2.9)

Myel. Leuk. 2.7 (1.4)

Other Skin 2.4 (1.4)

0 5 10 15 20
Relative Proportion %

Females
Source: NCRP, Bangalore

75
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Kasaragod District

5.28. KASARAGOD DISTRICT, Kerala State

(Code 3201)

TABLE 5.28(a) : Profile of Kasaragod District (2001 Census)

Area (in sq. kms.) 1,992.0

Source: NCRP, Bangalore

Decadal Growth Rate (1991-2001) 12.30%
Literacy Rate
Males 90.84%
Females 79.80%
Sex Ratio (females per 1000 males) 1047
Density (persons per sq. km) 604

FIGURE 5.28(a) : Map of India highlighting Kerala State FIGURE 5.28(b) : Map of Kerala State highlighting
Kasaragod District
TABLE 5.28(b) : Centrewise Distribution of Cancers
Number (#) and Relative Proportion (%)

Year 2001 2002 2001 - 2002

Centre (with code in parentheses) # % # % # %

Kasturba Medical College, Mangalore (3) 228 68.9 309 72.0 537 70.7
Source: NCRP, Bangalore

Kasturba Medical College, Manipal (77) 54 16.3 49 11.4 103 13.6

HBCR - Thiruvananthapuram (1006) 30 9.1 61 14.2 91 12.0
HBCR - Bangalore (1007) 8 2.4 0 0.0 8 1.1
Amala Cancer Hospital, Thrissur (96) 6 1.8 2 0.5 8 1.1
All Other Centres 5 1.5 8 1.9 13 1.7
Total Cancers 331 100.0 429 100.0 760 100.0

76
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Kasaragod District

TABLE 5.28(c) : Salient features of Cancer Incidence

Year 2001 2002 2001 - 2002

Males Females Males Females Males Females

Estimated Population 5,88,466 6,16,699 5,94,345 6,23,963 11,82,811 12,40,662

Source: NCRP, Bangalore

Total Cancers (All sites) 198 133 242 187 440 320

Min. Crude IR 33.7 21.6 40.7 30.0 37.2 25.8

Min. Age Adjusted IR 46.3 29.1 57.2 40.9 51.8 35.0

Min. Truncated IR 87.1 61.1 98.1 96.7 92.8 78.9

Min. = Minimum IR = Incidence Rate / 100,000

FIGURE 5.28(c) : Ten Leading Sites of Cancer (2001 - 2002)

(Minimum Age Adjusted Incidence Rates given in parentheses)

Males

Lung 12.5 (7.1)

Mouth 9.6 (5.3)

Source: NCRP, Bangalore

NHL 6.8 (2.9)

Stomach 6.4 (3.7)

Tongue 5.7 (3.0)

Lymph. Leuk. 4.8 (1.8)

Myel. Leuk. 4.1 (1.7)

Hypopharynx 3.9 (2.1)

Oesophagus 3.9 (2.3)

Larynx 3.6 (2.1)

0 5 10 15 20
Relative Proportion %

Females
Source: NCRP, Bangalore

77
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Pathanamthitta District

5.29. PATHANAMTHITTA DISTRICT, Kerala State

(Code 3212)

TABLE 5.29(a) : Profile of Pathanamthitta District

(2001 Census)
Area (in sq. kms.) 2,637.0

Source: NCRP, Bangalore

Decadal Growth Rate (1991-2001) 3.72%
Literacy Rate
Males 96.62%
Females 93.71%
Sex Ratio (females per 1000 males) 1094
Density (persons per sq. km) 467

FIGURE 5.29(a) : Map of India highlighting Kerala State FIGURE 5.29(b) : Map of Kerala State highlighting
Pathanamthitta District

TABLE 5.29(b) : Centrewise Distribution of Cancers

Number (#) and Relative Proportion (%)

Year 2001 2002 2001 - 2002

Centre (with code in parentheses) # % # % # %
Source: NCRP, Bangalore

HBCR - Thiruvananthapuram (1006) 537 96.1 635 97.2 1172 96.7

HBCR - Mumbai (1008) 14 2.5 8 1.2 22 1.8
All Other Centres 8 1.4 10 1.5 18 1.5
Total Cancers 559 100.0 653 100.0 1212 100.0

78
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Pathanamthitta District

TABLE 5.29(c) : Salient features of Cancer Incidence

Year 2001 2002 2001 - 2002

Males Females Males Females Males Females

Estimated Population 5,86,959 6,42,755 5,88,134 6,45,878 11,75,093 12,88,633

Source: NCRP, Bangalore

Total Cancers (All sites) 276 283 332 321 608 604

Min. Crude IR 47.0 44.0 56.5 49.7 51.7 46.9

Min. Age Adjusted IR 46.7 44.8 54.6 49.0 50.7 46.9

Min. Truncated IR 81.2 103.0 95.7 105.0 88.4 104.2

Min. = Minimum IR = Incidence Rate / 100,000

FIGURE 5.29(c) : Ten Leading Sites of Cancer (2001 - 2002)

(Minimum Age Adjusted Incidence Rates given in parentheses)

Males

Lung 14.1 (6.8)

Mouth 9.5 (4.8)

Source: NCRP, Bangalore

Tongue 6.9 (3.6)

NHL 5.6 (2.8)

Oesophagus 5.3 (2.6)

Prostate 5.1 (2.5)

Larynx 3.8 (2.0)

Stomach 3.8 (1.9)

Multi. Myel. 3.6 (1.8)

Rectum 3.6 (1.8)

0 5 10 15 20
Relative Proportion %

Females
Source: NCRP, Bangalore

79
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Kannur District

5.30. KANNUR DISTRICT, Kerala State

(Code 3202)

TABLE 5.30 (a) : Profile of Kannur District (2001 Census)

Area (in sq. kms.) 2,966.0

Source: NCRP, Bangalore

Decadal Growth Rate (1991-2001) 7.13%
Literacy Rate
Males 96.38%
Females 89.57%
Sex Ratio (females per 1000 males) 1090
Density (persons per sq. km) 813

FIGURE 5.30(a) : Map of India highlighting Kerala State FIGURE 5.30 (b) : Map of Kerala State highlighting
Kannur District

TABLE 5.30(b) : Centrewise Distribution of Cancers

Number (#) and Relative Proportion (%)
Year 2001 2002 2001 - 2002
Centre (with code in parentheses) # % # % # %

Kasturba Medical College, Manipal (77) 289 42.2 216 32.0 505 37.2
HBCR - Thiruvananthapuram (1006) 210 30.7 248 36.8 458 33.7
Kasturba Medical College, Mangalore (3) 92 13.4 104 15.4 196 14.4
Source: NCRP, Bangalore

Amala Cancer Hospital, Thrissur (96) 28 4.1 27 4.0 55 4.0

HBCR - Chennai (1009) 28 4.1 26 3.9 54 4.0
Sudharama Laboratory, Thrissur (92) 4 0.6 37 5.5 41 3.0
HBCR - Bangalore (1007) 18 2.6 0 0.0 18 1.3
HBCR - Mumbai (1008) 6 0.9 8 1.2 14 1.0
All Other Centres 10 1.5 8 1.2 18 1.3
Total Cancers 685 100.0 674 100.0 1359 100.0

80
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Kannur District

TABLE 5.30(c) : Salient features of Cancer Incidence

Year 2001 2002 2001 - 2002

Males Females Males Females Males Females

Estimated Population 11,54,704 12,60,540 11,60,221 12,71,054 23,14,925 25,31,594

Source: NCRP, Bangalore

Total Cancers (All sites) 401 284 381 293 782 577

Min. Crude IR 34.7 22.5 32.8 23.1 33.8 22.8

Min. Age Adjusted IR 45.1 26.4 42.9 26.8 44.0 26.6

Min. Truncated IR 79.3 57.5 78.0 55.6 78.7 56.6

Min. = Minimum IR = Incidence Rate / 100,000

FIGURE 5.30(c) : Ten Leading Sites of Cancer (2001 - 2002)

(Minimum Age Adjusted Incidence Rates given in parentheses)

Males

Lung 13.7 (6.4)

Stomach 7.5 (3.5)

Source: NCRP, Bangalore

Larynx 6.8 (3.2)

Mouth 6.3 (2.9)

Oesophagus 5.6 (2.7)

Tongue 4.9 (2.2)

Hypopharynx 4.1 (1.9)

Myel. Leuk. 3.7 (1.4)

NHL 3.7 (1.6)

Lymph. Leuk. 3.6 (1.2)

0 5 10 15 20
Relative Proportion %

Females
Source: NCRP, Bangalore

81
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Ernakulam District

5.31. ERNAKULAM DISTRICT, Kerala State

(Code 3208)

TABLE 5.31(a) : Profile of Ernakulam District

(2001 Census)
Area (in sq. kms.) 2,950.0

Source: NCRP, Bangalore

Decadal Growth Rate (1991-2001) 9.09%
Literacy Rate
Males 95.95%
Females 90.96%
Sex Ratio (females per 1000 males) 1017
Density (persons per sq. km) 1050

FIGURE 5.31(a) : Map of India highlighting Kerala State FIGURE 5.31(b) : Map of Kerala State highlighting
Ernakulam District

TABLE 5.31(b) : Centrewise Distribution of Cancers

Number (#) and Relative Proportion (%)

Year 2001 2002 2001 - 2002

Centre (with code in parentheses) # % # % # %

HBCR - Thiruvananthapuram (1006) 559 71.2 689 73.1 1248 72.3

Source: NCRP, Bangalore

Amala Cancer Hospital, Thrissur (96) 153 19.5 165 17.5 318 18.4
Government Medical College, Thrissur (53) 42 5.3 47 5.0 89 5.2
HBCR - Mumbai (1008) 10 1.3 19 2.0 29 1.7
All Other Centres 21 2.7 22 2.3 43 2.5
Total Cancers 785 100.0 942 100.0 1727 100.0

82
Development of an Atlas of Cancer in India Patterns of Cancer in Selected Districts - Ernakulam District

TABLE 5.31(c) : Salient features of Cancer Incidence

Year 2001 2002 2001 - 2002

Males Females Males Females Males Females

Estimated Population 15,36,567 15,62,119 15,49,254 15,77,448 30,85,821 31,39,567

Source: NCRP, Bangalore

Total Cancers (All sites) 431 354 490 452 921 806

Min. Crude IR 28.1 22.7 31.6 28.7 29.9 25.7

Min. Age Adjusted IR 32.9 24.3 37.2 31.0 35.1 27.7

Min. Truncated IR 67.3 53.0 74.8 69.8 71.6 61.7

Min. = Minimum IR = Incidence Rate / 100,000

FIGURE 5.31(c) : Ten Leading Sites of Cancer (2001 - 2002)

(Minimum Age Adjusted Incidence Rates given in parentheses)

Males

Source: NCRP, Bangalore

Females
Source: NCRP, Bangalore

83